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AVERA ST LUKES
NPI 1912011867
Durable Medical Equipment & Medical Supplies - Oxygen Equipment & Supplies in Aberdeen, SD

Active since August 18, 2006
305 S STATE ST, ABERDEEN, SD 57401(605) 622-5000(605) 622-5255 Get Directions Write a Review

NPPES record last updated: October 22, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Avera St Lukes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA ST LUKES (NPI 1912011867) is a healthcare organization registered as an oxygen equipment & supplies in Aberdeen, South Dakota and active in the NPI registry since August 2006. The organization lists Ronald L Jacobson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912011867
Entity TypeOrganization
Primary Taxonomy332BX2000X
Legal Business NameAVERA ST LUKES
Location Address305 S STATE STAberdeen, SD 57401-4527
Mailing Address305 S State StAberdeen, SD 57401-4527 · (605) 622-5000 · Fax (605) 622-5255
Phone(605) 622-5000
Fax(605) 622-5255
Organization SubpartYesParent: Hospital
Authorized OfficialRonald L JacobsonCeo · (605) 622-5125
Enumeration DateAugust 18, 2006
Last NPPES UpdateOctober 22, 2007
✔ NPI 1912011867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesSuppliers
Taxonomy Code332BX2000X
License✔ Licensed in SD · 10525
Also ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X · License 10525 (SD)
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X · License 10525 (SD)
305 S STATE ST, Aberdeen, SD 57401
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Other Identifiers 2

Medicare NSC0588460001SD
Medicaid9163240SD

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON GAUER PT
Physical Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
AVERA ST. LUKES
Pathology (Clinical Pathology/Laboratory Medicine)
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
AVERA ST LUKES
Psychiatric Unit
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
SHANNON M YOUNG OT
Occupational Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
KERRI FOSS PT
Physical Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
AVERA ST LUKES
Medicare Defined Swing Bed Unit
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
NICOLE SUMNER
Physical Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
SUSAN FAE HOHM R.N., C.N.S
Clinical Nurse Specialist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5587

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera St Lukes's NPI number?

The NPI number for Avera St Lukes is 1912011867. It was assigned to this organization in the NPPES registry on August 18, 2006.

Where is Avera St Lukes located?

Avera St Lukes is located at 305 S State St, Aberdeen, SD 57401. The listed phone number is (605) 622-5000.

What is Avera St Lukes's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Oxygen Equipment & Supplies, with taxonomy code 332BX2000X.

When was this NPI record last updated?

The NPPES record for Avera St Lukes was last updated on October 22, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.